Document Detail


ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens' Syndrome.
MedLine Citation:
PMID:  25161778     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Wellens' syndrome, also known as LAD coronary T-wave inversion syndrome, is a characteristic ECG pattern that highly suggests critical stenosis of the proximal left anterior descending (LAD) coronary artery. 75% of patients with this finding go on to develop acute anterior wall myocardial infarction within one week unless prevented by early intervention on the culprit lesion. Most instances of ST-elevation occurring during cardiac stress testing have been observed with exercise, with only seven cases reported in the literature with pharmacologic stress. We present a case of a patient with no known cardiac disease who presented with chest pain and an ECG consistent with Wellens' syndrome that developed an acute anterior wall ST-elevation myocardial infarction after pharmacologic stress test.
Authors:
Kunal Patel; Fady Alattar; Jayanth Koneru; Fayez Shamoon
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Publication Detail:
Type:  Journal Article     Date:  2014-04-02
Journal Detail:
Title:  Case reports in emergency medicine     Volume:  2014     ISSN:  2090-648X     ISO Abbreviation:  Case Rep Emerg Med     Publication Date:  2014  
Date Detail:
Created Date:  2014-08-27     Completed Date:  2014-08-27     Revised Date:  2014-08-29    
Medline Journal Info:
Nlm Unique ID:  101591814     Medline TA:  Case Rep Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  530451     Citation Subset:  -    
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